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Individual

DR. MICHELE HOLLEY CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CD,DPM

Contact information

Practice address
664 DUNNING CT, DRAPER, UT 84020-8470
(801) 495-0736
Mailing address
664 DUNNING CT, DRAPER, UT 84020-8470
(801) 495-0736

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
5765339-4901
UT
213E00000X
Podiatrist
Primary
5765339-0501
UT
213E00000X
Podiatrist
E4105
CA

Other

Enumeration date
10/22/2010
Last updated
10/22/2010
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